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It goes without saying that the foaling should be attended if at all possible in order to recognize any problems during the delivery, such as dystocia (difficult birth) or premature separation of the placenta.

Induced labor also is linked to: a higher incidence of vacuum or forceps-assisted vaginal delivery; problems in labor, including fever and shoulder dystocia when the baby's shoulder gets "stuck" in the birth canal; fluctuations in fetal heart rate; jaundice; and longer hospital stays.

Your baby may have trouble breastfeeding and is three times more likely to die in the first year of life than a full-term baby.2 Elective inductions increase the use of medication, including epidurals, and also the incidence of non-reassuring fetal heart rate patterns, shoulder dystocia, instrument delivery, and cesareans.3

Elective labor induction not only increases the use of analgesia and epidural anesthesia but also the incidence of nonreassuring fetal heart rate patterns, shoulder dystocia, instrument delivery, and cesarean surgery Goer et al., 2007.

Suspected macrosomia is not an indication for induction, and induction for suspected macrosomia does not reduce the incidence of shoulder dystocia and is associated with an increased risk of cesarean Sanchez-Ramos, Bernstein, & Kaunitz, 2002.

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"Mrs. Purefoy's childbirth at the National Maternity Hospital in Holles Street is a dystocia, or truly difficult labor. Almost as difficult as this chapter, said the Cicerone in the doorway to this white room of the House."The House of Ulysses by Julián Ríos, translated by Nick Caistor, p 187